Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.32 / $1,887.32 / $1,887.32	Professional		$1,887.32	$1,887.32	$1,887.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.28 / $2,252.28 / $2,457.42	Professional		$2,252.28	$2,252.28	$2,457.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,538.80 / $2,778.43 / $3,434.84	Professional		$2,538.80	$2,778.43	$3,434.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,982.00 / $2,162.17 / $2,522.55	Professional		$1,982.00	$2,162.17	$2,522.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.86 / $2,321.09 / $3,014.13	Professional		$1,837.86	$2,321.09	$3,014.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,313.92 / $3,390.33	Professional		$29.27	$2,313.92	$3,390.33